Inpatient Hospital Coding Compliance Auditor

The Inpatient Hospital Coding Compliance Auditor will provide
expert auditing services across various hospitals for Inpatient
services. Review documentation and related coding of inpatient
services, auditing correct assignment of ICD - 10 - CM / PCS to
verify coding and billing accuracy and that coders base code
assignment in a manner consistent with relevant laws, regulations,
coding and billing standards. This individual will provide
education to coders on audit results, utilize expertise to research
and respond to challenging coding questions, develop and provide
coding education and evaluate audit results to recommend corrective
actions. The individual will have the expertise to respond to
client requests to conduct ad hoc coding and billing audits.
Primary Responsibilities: Perform coding compliance and quality
audits in support of our compliance program and client expectations
Analyze and interpret documentation from medical records Clearly
document audit findings and calculate billing error rates Provide
feedback and education as appropriate depending on findings
Articulate audit findings appropriate for audience. Prepare written
audit reports as needed summarizing audit findings and any
corrective action necessary to mitigate risk Conduct ad hoc coding
and billing audits as requested Educate and audit offshore coders
and auditors as well as audit and educate new coders Stay abreast
of relevant LCDs, NCDs, billing and coding guidelines concerning
the current areas of audit focus Research, develop and present
education programs to physicians, coders and management as
requested Required Qualifications: Bachelors Degree in related
concentration such as Health Information Management or Health
Information Technology or equivalent experience RHIA or RHIT, CCS
5+ years coding experience 3+ years of audit experience Proficient
in application of acute hospital coding guidelines, policies,
processes and practices Must maintain active coding credential by
obtaining qualifying CEUs as needed Extensive, current knowledge of
acute hospital coding rules, official coding guidelines and
policies regarding ICD - 10 - CM / PCS, MS - DRG, and APR - DRG
Exceptional technical skills in most software applications such as
Excel, Word and Outlook Highly experienced and comfortable in most
Electronic Medical Records and encoder / grouper products
Comfortable and very experienced in leading remote education and
training sessions to a group or individuals while using WebEx and
other similar applications Preferred Qualifications: Experience
with computer assisted coding (CAC) products To Become A Member:
Please visit mommyjobsonline.com and click on Join Now and select
the Medical Coding WAH Job Bank Registry to become a lifetime
member to get connected with this client. Please email us your
resume after you register with your qualifications and work
history. Please reference agent id code MJOLROXANNA on your
registration submission. Please feel free to consult with us if you
have further job related questions about our company at
14054186160.

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